ED Medication Comparison Tool
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Detailed Comparison Table
Medication | Dosage | Onset | Duration | Avg Cost | Side Effects |
---|---|---|---|---|---|
Viagra Extra Dosage | 100 mg | 30–60 min | 4–5 hrs | $40–$55 | Headache, flushing, dyspepsia |
Cialis | 10–20 mg or 2.5–5 mg daily | 30–120 min | Up to 36 hrs | $30–$45 | Back pain, muscle aches, indigestion |
Levitra | 10–20 mg | 15–30 min | 4–6 hrs | $35–$50 | Facial flushing, nasal congestion |
Stendra | 50–200 mg | 15 min | 4–6 hrs | $45–$60 | Headache, dizziness, back pain |
Generic Sildenafil | 25–100 mg | 30–60 min | 4–5 hrs | $15–$30 | Headache, flushing |
Did you know that more than 30 million men in the United States alone use prescription pills for erectile dysfunction (ED) each year? If you’ve ever wondered whether the high‑strength version of the world‑famous blue pill is really worth it, you’re in the right place. Below we break down Viagra extra dosage and stack it against the most common alternatives, so you can decide what fits your lifestyle, budget, and health profile.
What Is Viagra Extra Dosage?
Viagra Extra Dosage is a prescription formulation of sildenafil citrate that comes in 100 mg tablets, double the standard 50 mg strength. It’s designed for men who need a stronger dose to achieve a reliable erection, especially when lower doses fall short. The drug belongs to the PDE5 inhibitor class, works by relaxing smooth muscle in the penis, and typically starts acting within 30‑60 minutes. Its effects can last up to five hours, though the peak response often appears around two hours after intake.
How PDE5 Inhibitors Work
PDE5 inhibitors are a group of oral medications that block the phosphodiesterase‑5 enzyme, which normally breaks down cyclic guanosine monophosphate (cGMP). By preserving cGMP, blood vessels in the penile tissue stay relaxed, allowing more blood flow during sexual stimulation. This mechanism is shared by Viagra, Cialis, Levitra, and Stendra, but each drug varies in onset, duration, and side‑effect profile.
Headline Alternatives to Consider
Below are the four most widely prescribed alternatives you’ll encounter at a pharmacy or online. Each has its own brand name, typical dose range, and unique quirks.
- Cialis contains tadalafil and is available in 10mg, 20mg, and a daily 2.5mg/5mg low‑dose version.
- Levitra uses vardenafil, offered in 5mg, 10mg, and 20mg tablets.
- Stendra is the newest entrant, containing avanafil and sold in 50mg, 100mg, and 200mg doses.
- Generic Sildenafil is the off‑brand version of the original blue pill, typically 25mg, 50mg, and 100mg.

Side‑By‑Side Comparison
Medication | Typical Dose | Onset | Duration | Average Cost (US$) | Common Side Effects |
---|---|---|---|---|---|
Viagra Extra Dosage | 100mg (once per event) | 30-60min | 4-5hrs | ≈$40-$55 (brand) | Headache, flushing, dyspepsia |
Cialis | 10-20mg (as needed) or 2.5-5mg daily | 30-120min | Up to 36hrs ("weekend pill") | ≈$30-$45 (brand) | Back pain, muscle aches, indigestion |
Levitra | 10-20mg (as needed) | 15-30min | 4-6hrs | ≈$35-$50 (brand) | Facial flushing, nasal congestion |
Stendra | 50-200mg (as needed) | 15min (fastest) | 4-6hrs | ≈$45-$60 (brand) | Headache, dizziness, back pain |
Generic Sildenafil | 25-100mg (as needed) | 30-60min | 4-5hrs | ≈$15-$30 (generic) | Similar to brand - headache, flushing |
Pros and Cons at a Glance
Here’s a quick rundown of what most patients love-or hate-about each option.
- Viagra Extra Dosage:
- + Proven track record, widely studied.
- + Strong effect for men who need more potency.
- - Higher cost than generics.
- - Shorter “window” compared with Cialis.
- Cialis:
- + Longest duration; great for spontaneity.
- + Daily low‑dose option helps maintain natural erections.
- - May cause deeper muscle aches, especially at higher doses.
- - Slightly slower onset for some men.
- Levitra:
- + Faster onset than Viagra; works well with meals.
- + Slightly lower price than brand‑name Viagra.
- - Not approved for daily dosing.
- - Side‑effects like nasal congestion can be bothersome.
- Stendra:
- + The quickest kicker-sometimes under 15 minutes.
- + Less impacted by high‑fat meals.
- - Premium price; insurance coverage can be spotty.
- - Limited long‑term safety data compared to older drugs.
- Generic Sildenafil:
- + Cheapest way to get the classic Viagra effect.
- + Widely available from reputable online pharmacies.
- - No brand‑level guarantee on pill consistency (though most manufacturers meet standards).
How to Choose the Right Pill for You
Think of the decision as a mini‑checklist. Ask yourself these questions, then match the answer to the drug that checks the most boxes.
- How quickly do you need it? If you’re often “in the moment,” Stendra’s rapid onset shines. For a slower but reliable window, Viagra or generic sildenafil work fine.
- How long do you want the effect to last? A weekend getaway? Cialis’s 36‑hour window cuts down on planning. If you only need a couple of hours, any standard PDE5 inhibitor suffices.
- What’s your budget? Generic sildenafil is the most affordable. Cialis daily low‑dose can be cost‑effective if you need frequent use.
- Any health concerns? Men on nitrates (often for heart disease) must avoid all PDE5 inhibitors-see the safety box below. Those with chronic back pain might steer clear of higher‑dose Cialis.
- Do you prefer brand vs. generic? Some value the brand’s reputation, while others trust the FDA’s bio‑equivalence standards for generics.

Safety, Interactions, and Contra‑Indications
All PDE5 inhibitors share a few red flags. The biggest no‑go is mixing them with nitrates medications used for chest angina such as nitroglycerin, isosorbide dinitrate, and isosorbide mononitrate.. Combining the two can cause a dangerous drop in blood pressure.
Other cautions include:
- Severe liver or kidney impairment may require dose adjustments.
- Recent eye surgery (e.g., retinal detachment repair) should be discussed with a doctor before starting any PDE5 inhibitor.
- Uncontrolled hypertension or low blood pressure can increase risk of side‑effects.
For men seeking a non‑prescription route, L‑Arginine is a natural amino‑acid supplement that boosts nitric oxide, helping improve blood flow. While it’s far less potent than prescription options, some studies show modest benefits when taken 2-3grams daily. Still, it can interact with blood‑pressure meds, so a quick chat with a pharmacist is wise.
Real‑World Stories (What Patients Say)
Mike, 48, from Brisbane, tried the 100mg version after a 50mg trial fell flat. “Within a week, I noticed the difference-my erections were firmer and lasted longer. The only downside was a mild headache, which cleared after a glass of water.”
Lucas, 55, switched to daily low‑dose Cialis after an awkward weekend where Viagra’s timing didn’t line up. “Now I don’t have to plan the dose; I just take the pill with breakfast and feel ready whenever the mood hits.”
These anecdotes underline a key point: personal response varies, and a bit of trial‑and‑error (under medical supervision) often finds the sweet spot.
Final Takeaways
When you line up the numbers, cost, speed, and side‑effects, the picture becomes clear:
- Choose Viagra extra dosage if you need a strong, proven punch and can handle a slightly higher price.
- Pick Cialis for a long “window” or daily low‑dose routine.
- Opt for Levitra if you want a faster onset and are okay with a standard duration.
- Try Stendra when spontaneity matters above all.
- Go generic sildenafil for budget‑friendly, reliable results.
Always talk to a healthcare provider before starting any new ED medication, especially if you have heart conditions, are on nitrates, or take other prescription drugs.
Frequently Asked Questions
Can I take Viagra extra dosage more than once a day?
No. The recommended maximum is one 100mg tablet per 24‑hour period. Taking more can raise the risk of severe side effects like priapism (painful, prolonged erection) and cardiovascular strain.
Is a generic version of Viagra extra dosage available?
Yes. Generic sildenafil 100mg tablets deliver the same active ingredient. They are usually 30‑50% cheaper than the brand, but make sure you buy from a reputable pharmacy.
How does food affect Viagra extra dosage?
A high‑fat meal can delay absorption, pushing the onset from 30 minutes to up to 2 hours. If you need quick action, take the pill on an empty stomach or after a light meal.
Are there any natural alternatives that work as well as prescription pills?
Supplements like L‑Arginine, panax ginseng, and yohimbine have modest evidence, but none match the efficacy of PDE5 inhibitors. They can be useful adjuncts when combined with lifestyle changes, but discuss them with a doctor first.
What should I do if I experience a painful erection lasting longer than 4 hours?
Seek emergency medical care immediately. This condition, called priapism, can damage penile tissue permanently if not treated promptly.
George Frengos
October 6, 2025 AT 15:59When you’re weighing options for ED medication, a clear plan can make all the difference. Start by identifying the most important factor for your lifestyle-whether it’s speed, duration, or cost. Viagra extra dosage offers a proven 100 mg strength that many men find reliable. Its onset of 30‑60 minutes fits well for planned intimacy. The five‑hour window provides enough flexibility for most evenings. Because it’s a brand name, you can trust the consistency of each tablet. The side‑effect profile-headache, flushing, dyspepsia-is well documented and manageable for most users. If you have cardiovascular concerns, consult a physician before starting any PDE5 inhibitor. For those on a tighter budget, the generic 100 mg sildenafil delivers the same active ingredient at a lower price. Remember that a high‑fat meal can delay absorption, so timing your dose with a light snack may improve performance. Some men prefer the daily low‑dose regimen of Cialis, but the extra strength of Viagra can be advantageous when occasional potency is needed. Keep your prescription up to date and store the tablets in a cool, dry place. Tracking your response in a simple journal can help you fine‑tune the dose. Overall, the extra dosage strikes a balance between efficacy and predictability. Approach the decision with confidence, and you’ll find the right fit for your personal needs.